| NPI | 1013335983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERNANDO MORA Owner 210-445-3904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1001328) |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2014-03-28 |